Immune Regulation in Pregnancy: A Matter of Perspective?

Obstet Gynecol Clin North Am. 2016 Dec;43(4):679-698. doi: 10.1016/j.ogc.2016.07.004. Epub 2016 Oct 14.

Abstract

The maternal immune system is complex and governed by multiple hormonal and metabolic factors, including those provided to the mother via the fetus. Understanding of the balance between maternal tolerance and protection of the fetus may require thinking from multiple theoretical approaches to the general problem of immune activation and tolerance. This article provides a brief review of the immune system, with aspects relevant to pregnancy. The references include reviews that expand on the elements discussed. The article also uses different models of immune system activation and tolerance to provide a theoretical understanding of the problem of maternal tolerance.

Keywords: Immune regulation; Maternal tolerance; Pregnancy.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Immune Tolerance / physiology*
  • Immunity, Maternally-Acquired / physiology*
  • Maternal-Fetal Exchange / immunology*
  • Models, Immunological
  • Pregnancy